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Ultrapotent SARS coronavirus-neutralizing single-domain antibodies that clamp the spike at its base

Authors: De Cae, Sieglinde; Van Molle, Inge; van Schie, Loes; Shoemaker, Sophie R.; Deckers, Julie; Debeuf, Nincy; Lameire, Sahine; +27 Authors

Ultrapotent SARS coronavirus-neutralizing single-domain antibodies that clamp the spike at its base

Abstract

Therapeutic monoclonal antibodies can prevent severe disease in SARS-CoV-2 exposed individuals. However, currently circulating virus variants have evolved to gain significant resistance to nearly all neutralizing human immune system-derived therapeutic monoclonal antibodies that had previously been emergency-authorized for use in the clinic. Here, we describe the discovery of a panel of single-domain antibodies (VHHs) directed against the spike protein S2 subunit that broadly neutralize SARS-CoV-1 and −2 with unusually high potency. One of these VHHs tightly clamps the spike’s monomers at a highly conserved, quaternary epitope in the membrane proximal part of the trimeric Heptad Repeat 2 (HR2) coiled-coil, thereby locking the HR2 in its prefusion conformation. Low dose systemic administration of a VHH-human IgG1 Fc fusion prevented SARS-CoV-2 infection in two animal models. Pseudovirus escape selection experiments demonstrate that the very rare escape variants are rendered almost non-infectious. This VHH-based antibody with a highly potent mechanism of antiviral action forms the basis for a new class of pan-sarbecovirus neutralizing biologics, which are currently under development. In addition, the unique quaternary binding mode of the VHHs to the prefusion HR2 could be exploited for other class I fusion proteins.

Keywords

mice, Science, Epitopes/immunology, SARS-COV-2, Antibodies, Viral, SARS-CoV-2/immunology, Article, REGION, Mice, Epitopes, SDG 3 - Good Health and Well-being, Medicine and Health Sciences, Humans, Animals, Antibodies, Viral/immunology, HR2, EXCHANGE, SITES, Science & Technology, SARS-CoV-2, Q, Biology and Life Sciences, Single-Domain Antibodies/immunology, COVID-19, AUTOPROC, Single-Domain Antibodies, Antibodies, Neutralizing/immunology, Antibodies, Neutralizing, COVID-19/immunology, Multidisciplinary Sciences, HEK293 Cells, Severe acute respiratory syndrome-related coronavirus, Spike Glycoprotein, Coronavirus, Science & Technology - Other Topics, Spike Glycoprotein, Coronavirus/immunology, Female, Severe acute respiratory syndrome-related coronavirus/immunology

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green
gold